Society of Thoracic Surgeons

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January 18, 
2024
Intermacs Database Webinar
2024 AQO
The Intermacs Data Warehouse Team
Brandon Singletary, PhD
Ryan Cantor, PhD
Maceo Cleggett, BS
John Pennington, MSHI
   
Covid -19 Update
Tele visits encouraged
QOL surveys may been done over the phone or by mail
If follow-up visits are done outside of the visit window,
please enter the last date of the follow-up date visit into
the database
Sites have 30 days after the follow-up window due date
to enter the data for the C-19 exception
Reporting/
Utilization of
Data
Intermacs/Pedimacs
Quality Assurance Report Overview
Quarterly Webinars
 01/18/2024
Outline
Recent Report Edits
2023-Q3 (distributed December 2023)
Planned Report Edits
2023-Q4 (distributed March 2024)
Report Edits Under Consideration
On going collections of edit ideas and discussion
Data Quality
Considering ways to ensure reportable devices are entered into the registry
Importance of study endpoints and addressing patients missing multiple
follow-ups
Planning an integrity check targeting the 1m and 3m follow-up forms
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Cumulative Report Coverage Synced to Site Coverage
To create more useful comparisons of site data to the aggregate INTERMACS data, coverage for the
cumulative reports will be restricted to the year of the site’s first implant reported to INTERMACS. For
example if this site’s first implant in INTERMACS was in 2019 the cumulative report would be comparing site
data to an aggregate of patients starting in 2019.
“Prior VAD” Report Changed to “Prior Durable LVAD”
We have restructured the Prior VAD report into the Prior Durable LVAD Patients. This version of the report
is limited to patients whose first device pre-implant form indicates prior durable LVAD or TAH support.
Patients with a history of temporary support before their first durable device are now grouped in the
Primary Patients Report.
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Expand Device Malfunction Rates to include Major/Minor and Patient / Management Related
This calculation will be limited to when the Major/Minor Question went live (V6.1 11/2/21)
This edit will launch 2023 Q1 (dist. March 2024)
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Expand Device Malfunction Rates to include Major/Minor and Patient / Management Related
Add Lines for or Create a stand alone exhibit
- Device Malfunction - Major*
- Device Malfunction – Minor*
- Patient Related*
- Management Related*
- Device Related*
* Rates limited to patients implant since the V6.1 release  (11/2/21)
? Split out Dev Mal /Pump Throm Patient/Management related?
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QA Reports
Breakout RHF AE Rates by 
Severity
Need to discuss how to categorize RHF AEs
Dashboards / KM Tool
Expand Filter
RHF – need specification on early vs late
Evaluate readmission based on discharge date instead of implant date
Long Term Outcome Tab – link to Kaplan-Meier Tool
Send us your ideas and requests via email or in chat
Edits for Q
A reports
Edits for Dashboards
Contact Information
 
Kathryn Hollifield, BSN, RN  STS National Database Manager,
 
Intermacs and Pedimacs
khollifield@sts.org
Patricia Potter, BSN, RN,  Intermacs Data warehouse Clinical Informatics
Patricia.potter@kirso.net
 
Database Operational Questions
intermacsfaq@sts.org
This Photo
 by Unknown author is licensed under 
CC BY-SA
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Resources
Upcoming Intermacs Webinars
Open Discussion
THANK YOU FOR JOINING!
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This webinar provides insights into recent report edits, upcoming planned edits, data quality considerations, and the importance of study endpoints in the context of Intermacs/Pedimacs quality assurance reporting. It addresses ongoing collections of edit ideas, discussions on ensuring reportable devices are accurately entered into the registry, and strategies for addressing patients missing multiple follow-ups. The webinar also highlights the significance of planning integrity checks targeting specific follow-up forms.

  • Quality reporting
  • Webinar overview
  • Data utilization
  • Intermacs
  • Pedimacs

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  1. Society of Thoracic Surgeons Society of Thoracic Surgeons Intermacs/Pedimacs Intermacs/Pedimacs Quality Reporting Webinar Quality Reporting Webinar January 18, 2024

  2. Intermacs Database Webinar Welcome and Introductions STS Updates

  3. 2024 AQO

  4. The Intermacs Data Warehouse Team Brandon Singletary, PhD Ryan Cantor, PhD Maceo Cleggett, BS John Pennington, MSHI

  5. Covid -19 Update Tele visits encouraged QOL surveys may been done over the phone or by mail If follow-up visits are done outside of the visit window, please enter the last date of the follow-up date visit into the database Sites have 30 days after the follow-up window due date to enter the data for the C-19 exception

  6. Reporting/ Utilization of Data

  7. Intermacs/Pedimacs Quality Assurance Report Overview Quarterly Webinars 01/18/2024

  8. Outline Recent Report Edits 2023-Q3 (distributed December 2023) Planned Report Edits 2023-Q4 (distributed March 2024) Report Edits Under Consideration On going collections of edit ideas and discussion Data Quality Considering ways to ensure reportable devices are entered into the registry Importance of study endpoints and addressing patients missing multiple follow-ups Planning an integrity check targeting the 1m and 3m follow-up forms

  9. Recent Report Edits Recent Report Edits Cumulative Report Coverage Synced to Site Coverage To create more useful comparisons of site data to the aggregate INTERMACS data, coverage for the cumulative reports will be restricted to the year of the site s first implant reported to INTERMACS. For example if this site s first implant in INTERMACS was in 2019 the cumulative report would be comparing site data to an aggregate of patients starting in 2019. Prior VAD Report Changed to Prior Durable LVAD We have restructured the Prior VAD report into the Prior Durable LVAD Patients. This version of the report is limited to patients whose first device pre-implant form indicates prior durable LVAD or TAH support. Patients with a history of temporary support before their first durable device are now grouped in the Primary Patients Report.

  10. Planned Report Edits Planned Report Edits Expand Device Malfunction Rates to include Major/Minor and Patient / Management Related This calculation will be limited to when the Major/Minor Question went live (V6.1 11/2/21) This edit will launch 2023 Q1 (dist. March 2024)

  11. Upcoming changes: Upcoming changes: Expand Device Malfunction Rates to include Major/Minor and Patient / Management Related Add Lines for or Create a stand alone exhibit - Device Malfunction - Major* - Device Malfunction Minor* - Patient Related* - Management Related* - Device Related* * Rates limited to patients implant since the V6.1 release (11/2/21) ? Split out Dev Mal /Pump Throm Patient/Management related?

  12. Proposed Edits Under Discussion Proposed Edits Under Discussion QA Reports Breakout RHF AE Rates by Severity Need to discuss how to categorize RHF AEs Dashboards / KM Tool Expand Filter RHF need specification on early vs late Evaluate readmission based on discharge date instead of implant date Long Term Outcome Tab link to Kaplan-Meier Tool Send us your ideas and requests via email or in chat Edits for QA reports Edits for Dashboards

  13. Contact Information Kathryn Hollifield, BSN, RN STS National Database Manager, Intermacs and Pedimacs khollifield@sts.org Patricia Potter, BSN, RN, Intermacs Data warehouse Clinical Informatics Patricia.potter@kirso.net Database Operational Questions intermacsfaq@sts.org

  14. Resources STS National Database Webpage STS National Database Webpage https://intermacs.kirso.net/intermacs-documents/( https://intermacs.kirso.net/intermacs-documents/(All things Intermacs and Pedimacs, Database user guides, Data collection forms, QOL surveys, FAQs, V 6 Training Video, Research opportunities) intermacs@kirso-admin.net. intermacs@kirso-admin.net.(Reporting questions, Uploader, DQR, Missing Variable, Dashboard, Password and Login ) Updated Participant Contact Form Updated Participant Contact Form DQ Report Validation Form DQ Report Validation Form

  15. Upcoming Intermacs Webinars User Group Webinar January 31st @ 1pm CT Intermacs Reporting Webinar April 18th@ 2 pm CT

  16. Open Discussion We encourage your feedback and want to hear from you! We will answer as many questions as possible. Please use the Q&A Function.

  17. THANK YOU FOR JOINING!

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